Individual
DR. JANET WILLOUGHBY MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5200 EASTERN AVE, MASON F. LORD BUILDING CENTER TOWER, SUITE 4100, BALTIMORE, MD 21224-2734
(410) 614-3368
(410) 550-2072
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 558-5238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
122414
NC
207R00000X
Internal Medicine Physician
Primary
D71282
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036817200
—
MD
05
—
3400030
—
NC
Enumeration date
05/14/2007
Last updated
06/10/2011
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